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Innovation can improve and expand aspects of end-of-life care in low- and middle-income countries

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Title: Innovation can improve and expand aspects of end-of-life care in low- and middle-income countries
Authors: Steedman, MR
Hughes-Hallett, T
Marie Knaul, F
Knuth, A
Shamieh, O
Darzi, A
Item Type: Journal Article
Abstract: Provision for end-of-life care around the world is widely variable and often poor, which leads to millions of deaths each year among people without access to essential aspects of care. However, some low- and middle-income countries have improved specific aspects of end-of-life care using innovative strategies and approaches such as international partnerships, community-based programs, and philanthropic initiatives. This article reviews the state of current global end-of-life care and examines how innovation has improved end-of-life care in Nigeria, Uganda, India, Bangladesh, Myanmar, and Jordan. Specifically, we examine how opioids have been made more available for the treatment of pain, and how training and education programs have expanded the provision of care to the dying population. Finally, we recommend actions that policy makers and individuals can take to improve end-of-life care, regardless of the income level in a country.
Issue Date: 1-Sep-2014
Date of Acceptance: 1-Sep-2014
URI: http://hdl.handle.net/10044/1/60493
DOI: https://dx.doi.org/10.1377/hlthaff.2014.0379
ISSN: 0278-2715
Publisher: Project HOPE
Start Page: 1612
End Page: 1619
Journal / Book Title: Health Affairs
Volume: 33
Issue: 9
Copyright Statement: ©2014 Project HOPE — The People-to-People Health Foundation, Inc.
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: NF-SI-0510-10186
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
PALLIATIVE CARE
MAPPING LEVELS
ORAL MORPHINE
UGANDA
HOSPICE
AFRICA
CANCER
IMPACT
Access To Care
Elderly
International/global health studies
Quality Of Care
Bangladesh
Developing Countries
Diffusion of Innovation
Humans
India
Jordan
Myanmar
Nigeria
Quality Improvement
Terminal Care
Uganda
1117 Public Health And Health Services
1402 Applied Economics
Publication Status: Published
Online Publication Date: 2014-09-01
Appears in Collections:Division of Surgery
Faculty of Medicine



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